Medical Records Technician abstracts clinical information from medical records and assigns the appropriate ICD or CPT codes using industry-standard coding guidelines. Assigns required DRG (diagnosis-related grouping) codes. Being a Medical Records Technician works with coding databases and software to input and maintain data according to standard procedures. Performs quality audits of work. Additionally, Medical Records Technician maintains and up-to-date knowledge of coding and documentation requirements. Does not require a medical coding certification. Requires a high school diploma. Typically reports to a supervisor or manager. The Medical Records Technician works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Description
A medical records clerk is responsible for a variety of tasks including collecting consumer information, issuing medical files, filing medical records, and processing consumer admissions and discharge papers. They ensure medical records are maintained in a manner compliance with ethical, legal and regulatory requirements of the medical services system.
A receptionist provides office services by implementing administrative systems, procedures, and policies, and monitoring administrative projects.
Requirements
· Gathers consumer information by collecting demographic information via interviews with the program supervisors, case coordinators, consumer, or their family (as needed).
· Maintains master consumer list by completing an assigned portion of the daily audit trail.
· Facilitate the flow of information in the medical record by creating, processing, and updating the medical record including but not limited to filing.
· Maintains record availability by uploading the medical record into the agency’s electronic health record.
· Ensure all discharge client charts are re-filed in discharge folder and filed into discharge file cabinet
· Participate in Utilization Management meetings to ensure receipt of all client documents for client files
· Ensures compliance with established external and internal control procedures by examining records, reports, operating practices, and documentation.
· Organization of charts and volume expansions in a timely manner
· Stay updated on all NC Foster Care/IAFT state and MCO regulation changes
· Weekly compliance meeting
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· Receptionist responsibilities:
· Opens and closes office during normal business hours
· Greets all guests and ensure their needs are met.
· Provides daily cleaning duties to ensure office is presentable.
· Implements and maintains all safety standards required through CARF and state guidelines.
· Ensures operation of equipment by completing preventive maintenance requirements; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques.
· Provides information by answering questions and requests.
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0 Medical Records Technician jobs found in Gastonia, NC area